Please do all you can to help share this a hugely important piece, both for practitioners and patients. Adverse outcomes can be avoided, stories like the one on this podcast are fuel in the engine of those who advocate true perioperative care. If you want to help go to the Greater National Advocates website here: https://www.gnanow.org/ The Patient Safety Movement is here: https://patientsafetymovement.org/ Presented by Desiree Chappell and Monty Mythen with their guests L. Bradley Schwartz, pre...
Feb 16, 2020•21 min
The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure. Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine: https://bjanaesthesia.org/article/S0007-0912(19)30047-9/fulltext Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/artic...
Feb 15, 2020•13 min
This talk is a powerful look at a new world where we commit your institution and practice to achieving an end goal of "zero preventable deaths". The Patient Safety Movement Foundation (PSMF) has generated an enormous amount of global news media coverage as it promotes that aim; celebrities, statesmen, politicians and industry leaders are all getting behind an ambition which, after hearing this talk, you are likely to want to see come to pass as much as they do. The clips used in this presentatio...
Feb 14, 2020•38 min
This piece is a fascinating overview of Australia and New Zealand's Emergency Laparotomy Audit - Quality Improvement (ANZELA-QI). It works as an update on the initiative, provides all the background you need including explanations regarding, structure, organisation and additional support as well as answering key questions such as: Do we need it? How do you join and what happens when you do? A link to the slides for this talk is here: http://www.anzca.edu.au/documents/03-ben-griffiths_anzela-qi-a...
Feb 13, 2020•26 min
"Antibiotic stewardship in perioperative care" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Alison Holmes, Professor of Infectious Diseases at Imperia...
Feb 12, 2020•16 min
How has the Royal College of Anaethestists (RCoA) evolved over the years and why is perioperative medicine so crucial to its agenda? How has this leadership in perioperative medicine become a force for change and improvement worldwide and what are the common themes that emerge as we take a global perspective on the discipline? The RCoA's global partnership programme is explained, how can perioperative medicine be part of helping less developed healthcare systems? The considerations are different...
Feb 11, 2020•21 min•Season 3Ep. 3
We begin with a question from the audience; 'how do we drive change in our institutions towards enhanced recovery after surgery?' The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is also mentioned. This edition of TopMedTalk was recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. The conversation features questioner Paul Hutchings, Consultant Anaesthetist at Norfolk and Norwich Univ...
Feb 10, 2020•7 min•Season 5Ep. 1
What is POPS (Proactive care for Older People undergoing Surgery) and how have things gone since this service was introduced to Guy's and St Thomas's back in 2004? How does the team apply the techniques of this programme to the perioperative pathway of a patient? Would a service like this be useful at your practice? Can your institution accommodate a fully comprehensive geriatric assessment and optimisation process? Furthermore, should a programme like this be rolled out across the UK and could ...
Feb 09, 2020•58 min
"Our hospital now has twice the capacity it had" cost of care and efficiency are up. Hear how enhanced recovery after surgery (ERAS) and the power of prehabilitation has dramatically shifted institutions towards better outcomes and a higher value of care. Also in this piece; what is immunonutrition? How does stress alter our immune responses? The piece mentioned in the podcast can be found here: https://journals.lww.com/annalsofsurgery/Abstract/2018/10000/Impact_of_a_Novel_Preoperative_Patient_c...
Feb 08, 2020•17 min
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Angela Coulter, a UK based health policy analyst and researcher....
Feb 07, 2020•23 min
Learn how to inspire a team to act, create change and get things done. How important are financial incentives, emotional connection and the relative ease of change? Originally streamed live from the hugely successful EBPOM USA Dallas Master's course. Presented by Michael Englesbe, Darling Sr. & Cyrenus G. Darling Jr. Professor of Surgery, Michigan.
Feb 06, 2020•24 min
Originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Sarah Hare, of the National Emergency Laparotomy Audit (NELA)....
Feb 05, 2020•29 min
How is the AANA facilitating the care of patients? How can you make a patient a 'partner in safety'? How do we coordinate so many disaparate systems of information and care? Patient records and data ownership is discussed, as is Paul Upton's excellent interview on TopMedTalk regarding "My Preop". The original piece is here: https://www.topmedtalk.com/my-pre-op-empowering-patients-before-surgery/ How do we reach out to patients and inform them about the risks and choices which will be presented t...
Feb 04, 2020•19 min•Season 3Ep. 2
"Leading a large, single group towards excellence" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Dr Elizabeth Cherot, Vice President of medical affairs at Axia ...
Feb 03, 2020•35 min
How do the insights of a 'medical linguistic anthropologist' impact upon our understanding of 'shared decision making'? How do patients make decisions about surgery? When, in the perioperative process, do they decide what is best for them? Does patient autonomy actually even exist? A bubble bursting conversation with a frequent favourite on TopMedTalk, this podcast is bound to get you thinking! Presented by Desiree Chappell and Monty Mythen with their guest Dr Lee Fleisher Professor and Chair of...
Feb 02, 2020•16 min
What are the big things to watch in 2020? "Renablement, rehabilitation and readmission" from a patient perspective and "training compotence, resillience and 'burn out,'" from the practitioner's point of view, according to one of our contributors on this piece. What about Enhanced Recovery, is that still set to be big in 2020? Is it methadone we should be thinking about? Is automation something on our collective horizon? What about the "B word", "Brexit"; will political change in the UK bring opp...
Feb 01, 2020•32 min
The TopMedTalk fortnightly digest is your round up of the past 2 weeks. Make sure you never miss out on crucial episodes and are fully up-to-date with your favorite medical podcast. Presented by TopMedTalk's senior producer Nick Margerrison.
Jan 31, 2020•4 min
Learn how to develop a national Quality Improvement (QI) network which will increase both communication and knowledge implementation. What are the essential elements of a useful network, how do you build a community within one and solidify it as an essential part of your practice? Presented by Carolyn Johnston, consultant Anaesthetist in St Georges hospital in London.
Jan 31, 2020•19 min
"Enhanced recovery after bariatric surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by David Voellinger, Lead Physician, Novant Health Bariatric Solutions Ch...
Jan 30, 2020•13 min
This piece starts with some words from patients; prehabilitation is "a set of actions that can be taken in advance of treatment to ease your passage through cancer". This vital talk explains how prehabilitation can leave cancer patients feeling personally empowered and ready to live well. Living is one thing, how do we get people to enjoy 'living well'? Further to this how do we do that in such a way that respects patient decisions and life choices? How can we get to a position where exercise, n...
Jan 29, 2020•20 min
Questions include: Do patients need to be advised about the possible hallucinatory side effects of ketamine? How do we ensure our perioperative pathway reaches patients at the earliest possible junction? Is there a standard pathway which can be applied to all? Featuring; Natasha Curran, pain medicine University College London Hospital (UCLH) and Medical Director at the Health Innovation Network, Denny Levett, Professor in Perioperative Medicine and Critical Care, Consultant in Perioperative Medi...
Jan 28, 2020•14 min
In the military Forward Surgical Teams (FSTs) are deployed into challenging environments to deliver "damage control surgery". They help people who have been injured, relieve the pain, stop the bleeding, 'patch the holes' and move them to a safer environment. It's from this background that our two contributors come, learn how they have been forced to innovate and what insights they can give to practitioners working in more familliar and well resourced contexts. Hear how a 25 year-old male present...
Jan 27, 2020•20 min
A discussion about consent, staying on the right side of the law, shared decision making and 'The Montgomery case' which has defined a Doctor's duty in these sorts of areas. Presented by Monty Mythen with Desiree Chappell and their guests Hugh Montgomery, and Paul Sankey, Enable Law partner and Clinical Negligence solicitor acting for patients, an accredited expert in his field.
Jan 26, 2020•20 min
The American Society of Anesthesiologists (ASA) continues to raise the standards of the medical practice of anesthesiology, as well as keeping a particular focus on improving patient care. This conversation is a chance to catch up with their work. For more on the Patient Safety Movement Foundation go here: https://patientsafetymovement.org/ Finally, the wonderful Linda Mason interview which gets mentioned in this piece is here: https://www.topmedtalk.com/euroanaes2019-linda-mason/ Presented by D...
Jan 25, 2020•11 min
'The Practitioner Health Programme' - why do anaesthetists suffer from mental health problems, what help is there available for them? Learn here how people in that profession are uniquely placed to deal with the inevitable pressures related to healthcare. Presented by Desiree Chappell and Monty Mythen with their guest Dr Clare Gerada, Medical Director, Physician Health, Practitioner Health Service.
Jan 24, 2020•5 min
Hear how you can transform your practice through team leadership, courage and a finely tuned awareness of the financial aspects of what you are trying to achieve. How can growth be tempered to suit the long term vision of a company? Why is teambuilding so crucial to large organisations? Can we determine the direction in which healthcare is evolving overall? Is 'population health in the perioperative space', a widely accepted future direction these days? Presented by Brian Woods, Anesthesiologist...
Jan 23, 2020•28 min
This piece focuses on the "Wessex Fit-4-Cancer Surgery Trial"; a unique multi-centre, efficacy pragmatic, factorial design, randomised controlled trial, with patient informed development and process evaluation "You wouldn't run a marathon without preparing," why would you want an operation where you don't get ready for a physically stressful event such as surgery? Prehabilitation is an obvious advantage, gathering the data which proves that is essential to perioperative medicine because it means...
Jan 22, 2020•16 min
How important is it to have a dedicated member of your team focused on starting, maintaining and coordinating your enhanced recovery programme? Does an enhanced recovery programme which comes from the grassroots need support early on in the process? How do you find the right people to support you once the process has begun? Also, how do you explain that these changes will actually reduce workload? The conversation moves into managing pain, both the reality of pain and the expectations which can,...
Jan 21, 2020•32 min
This piece builds on last week's look at Fluid Physiology, with reference to the book linked to below. "We did not have a concensus view on the very basic subject of fluid physiology and I needed to write a book". The book Fluid Physiology is available now, check out the website here: http://fluidphysiology.org/ Tom's always entertaining twitter feed is here: https://twitter.com/thomaswoodcock Tom's slightly shorter piece on this book is here: https://www.topmedtalk.com/topmedtalk-tom-woodcock/ ...
Jan 19, 2020•34 min
This piece looks at The WAVi Headset which allows for a multi-faceted panoramic assessment of brain performance. Hear how this device is used to assess the health of one of our most vital organs. For more detail check out the website here: https://wavimed.com/ Presented by Desiree Chappell with her guest Rob Martin, Chief Operating Officer at WAVi.
Jan 18, 2020•10 min
